BREAST CANCER IN YOUNG WOMEN 

Please read carefully (Assignment worth 20 points)

Phase 4 is all about results, this part of the paper will be based on the hypothetical analysis.

 Meaning since we will not be implementing the process, the results described will be based on whatever the students would like the research results to be. You will need to provide results for all the statistical tools mentioned and provide descriptive data (demographics of the population, different descriptive data points, etc.). Make sure to also include research limitations to improve for future studies. No more than 6 pages including cover page and references.

*** Please note I am more concerned with quality of your writing as opposed to the quantity of your composition.

Grading Rubric for Phase 4 – Before Writing Your Assignment Please read the Research Paper Rubric Carefully

Outstanding                 20 points

Very Good            15 points

Good                      10 Points

Unacceptable        5 Points

Integration of Knowledge

12.5%

The paper demonstrates that the author fully understands and has applied concepts learned in the course.

Concepts are integrated into the writer’s own insights.

The writer provides concluding remarks that  show analysis and synthesis of ideas

The paper demonstrates that the author, for the most part, understands and has applied concepts learned in the course.

Some of the conclusions, however, are not supported in the body of the paper

The paper demonstrates that the author, to a certain extent, understands and has applied concepts learned in the course

The paper does not demonstrate that the author has fully understood and applied concepts learned in the course.

Topic Focus

12.5%

The topic is focused narrowly enough for the scope of this assignment.

A thesis statement provides direction for the paper, either by statement of a position or hypothesis

The topic is focused but lacks direction.

The paper is about a specific topic but the writer has not established a position.

The topic is too broad for the scope of this assignment.

The topic is not clearly defined

Depth of Discussion

12.5 %

In-depth discussion and elaboration in all sections of the paper.

In-depth discussion and elaboration in most sections of the paper.

The writer has omitted pertinent content.

Quotations from others outweigh the writer’s own ideas excessively.

Cursory discussion in all the sections of the paper or brief discussion in only a few sections

Cohesiveness

12.5%

Ties together information from all sources.

Paper flows from one issue to the next without the need for headings.

Author’s writing demonstrates an understanding of the relationship among material obtained from all sources

For the most part, ties together information from all sources.

Paper flows with only some disjointedness.

Author’s writing demonstrates an understanding of the relationship among material obtained from all sources.

Sometimes ties together information from all sources.

Paper does not flow.

Disjointedness is apparent.

 Author’s writing does not demonstrate an understanding of the relationship among material obtained from all sources.

Does not tie together information.

Paper does not flow and appears to be created from disparate issues.

Headings are necessary to link concepts.

Writing does not demonstrate understanding any relationship

Spelling and Grammar 12.5%

Minimal spelling and/or grammar mistakes

Some spelling and or grammar mistakes.

Noticeable spelling and grammar mistakes.

Unacceptable number of spelling and/or grammar mistakes

Sources

12.5%

More than 5 current sources, of which at least 3 are peer-review journal articles or scholarly books.

Sources include both general background sources and specialized sources.

Special-interest sources and popular literature and acknowledged as such if they are cited.

All web sites utilized are authoritative.

5 current sources, of which at least 2 are peer-review journal articles or scholarly books.

All web sites utilized are authoritative.

Fewer than 5 current sources or fewer than 2 of 5 are peer-reviewed journal articles or scholarly books. All web sites utilized are credible.

Fewer than 5 current sources or fewer than 2 of 5 are peer-reviewed journal articles or scholarly books. Not all web sites utilized are credible, and/or sources are not current.

Citations

12.5%

Cites all data obtained from other sources.

APA citation style is used in both text and bibliography

Cites most data obtained from other sources.

APA citation style is used in both text and bibliography.

Cites some data obtained from other sources.

Citation style is either inconsistent or incorrect.

Does not cite sources.

Thank you everyone for adhering to the grading rubric guidelines. Please contact me if there are any questions.  

 

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

• Reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, please use “the use of telehealth with newly diagnosed patients with diabetes. “as the topic of research
• Identify and select 5 peer-reviewed articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

• Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

 

  You are also asked for 5 research studies that examine the technology. Do not use meta studies, but individual studies. When you report on the studies report the findings in past tense. Start each section with the researcher/s names and date. As you report the findings make sure you understand the findings. 

  

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select      an issue from the following list: bullying, unit closers and      restructuring, floating, nurse turnover, nurse staffing ratios, use of      contract employees (i.e., registry and travel nurses), or magnet      designation.
2. Describe      the selected issue. Discuss how it impacts quality of care and patient      safety in the setting in which it occurs.
3. Discuss      how professional standards of practice should be demonstrated in this      situation to help rectify the issue or maintain professional conduct.
4. Explain      the differing roles of nursing leaders and nursing managers in this      instance and discuss the different approaches they take to address the      selected issue and promote patient safety and quality care. Support your      rationale by using the theories, principles, skills, and roles of the      leader versus manager described in your readings.
5. Discuss      what additional aspects mangers and leaders would need to initiate in      order to ensure professionalism throughout diverse health care settings      while addressing the selected issue.
6. Describe      a leadership style that would best address the chosen issue. Explain why      this style could be successful in this setting.

This benchmark assignment assesses the following programmatic competencies:

1.1:       Exemplify professionalism in diverse health care settings.

1.3:       Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

 3.4:       Demonstrate professional standards of practice.

RUBRIC:

A clear description of the issue is presented. How the issue impacts quality of care and patient safety is detailed and accurate.

A through discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. An understanding of the importance of professional standards of practice in resolving issues and maintaining professional conduct is demonstrated. Strong rationale supports discussion.

A detailed explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. A well-developed explanation of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Rationale using theories, principles, skills, and nursing manger or nursing leader roles is used. The explanation demonstrates insight into exercising the roles of professional nursing leadership and management in the promotion of patient safety and quality care.

A detailed discussion on what additional aspects mangers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. The aspects presented clearly continue to address the selected issue and relate to a diverse health care setting. The items proposed in the discussion support the exemplification of professionalism in diverse health care settings.

The characteristics of the identified leadership style are clearly described. A detailed explanation of why this style could be successful in this setting is presented. Strong rationale is provided for support.

BACKGROUND

Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition. 

The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work. 

Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father.

SUBJECTIVE

Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.” 

Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time. 

MENTAL STATUS EXAM

The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation.

Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation

RESOURCES

§ Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and restandardization of the Conners’ Teacher Rating Scale (CTRS-R): Factors, structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 279-291. 

Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

• Decision #1 
  • Which decision did you select?
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
• Decision #2 
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
• Decision #3 
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

  

Purpose: To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy. Students are to submit a paper between 5-8 pages long excluding title page and reference pages. Paper must be organized according to the guidelines below and should include all the identified sections as required. Paper must be completed in APA format and contain current scholarly sources dated from 2014 until current.